MEDICARE: HOSPICE AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	001791	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001791	OTHER	TX	STATE LICENSE INFO

General Provider Information

NPI Number	:	1376503201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE AUSTIN

Provider Business Mailing Address
First Line	:	4107 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78759-8660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78759-8660
Country	:	US
Telephone Number	:	512-342-4700
Fax Number	:

Authorized Official
Title or Position	:	INTERIM DIRECTOR OF QUALITY
Name	:	CHRISTINA DIANE REMUS
Credential	:	RN, BSN
Telephone Number	:	512-342-4725

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	08/17/2023

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Directions to “HOSPICE AUSTIN ” Practice Location

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